Download or read book Incident Reports From Anesthesia In Morbid Obesity According To PAAD Thai Study written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Incident reports from anesthesia in morbid obesity according to PAAd Thai studyOraluxna Rodanant, M.D.* Waraporn Chau-in, M.D.** Somrat Charuluxananan, M.D.*Santhiti Morakul, M.D.*** Sukanya Pongruekdee, M.D.#, Umpawan Tanyong, M.D.##* Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University** Department of Anesthesiology, Faculty of Medicine, Kornkan University*** Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital. Mahidol University# Charoenkrung Pracharak Hospital, ### Chonburi HospitalAbstractBackground: In 2015, January 1st to December 31st, the Royal College of Anesthesiologists of Thailand (RCAT) contributed the multicenter study, the Perioperative and Anesthetic Adverse Events in Thailand study (PAAd Thai) in 22 hospitals across Thailand.Objective: This study aimed to determine the frequency of incidents related to anesthetic complications, contributing factors and corrective strategies in patients whose BMI were equal or over 35 kg/m2. Methods: This study was part of multicenter and prospective study. After being approved by every institutional ethical committee, written informed consent were waived, each hospital was asked to anonymously report incidence of anesthesia related adverse events which occurred during 24 hours. Patient were selected from the BMI equal or over 35 kg/m2. undergoing surgeries. These incident reports. were discussed and analyzed by three reviewers for contributing factors, clinical courses, factors minimizing incident and suggested corrective strategies.Results: There were 58 cases (2.63%) from a total 2,206 reports of PAAD Thai study. Seventy eight incidents occurred from 3,028 critical incidents reports (2.57%). 36.21% were male and 63.79% were female. The average age was 39.96 year and BMI was 39.8 + 5.09 kg/m2. The highest incidence occurred in patients with BMI 35-39.9 kg/m2 (65.52%). 53.45% were classified as ASA physical status 3. The adverse events were found more frequent in elective surgery (40 incidents or 68.96%) than emergency surgery. General surgery with explore laparotomy had the higher incidents compared to other surgical specialties. Oxygen desaturation was the most common incident. Severe arrhythmia, difficult intubation and cardiac arrest in 24 hour postoperatively were found in the same frequency. Overall contributing factors from this report were inadequate preanesthetic evaluation and preparation, haste, inexperience and inappropriate decision. Having experiences, more vigilance and have experienced assistant or effective supervision might be the factor for minimizing outcomes. Conclusion: Increasing the obesity and morbid obesity population in our society require much more concern not only the physiological changes but also the diseases that come along with. The majority of adverse events is respiratory event which is oxygen desaturation. Contributing factors in most complications found associated with haste and inadequate patient preparations which could be preventable. For anesthesiologists, perioperative management of obese patients should have high vigilance and need more skills. Specific scoring systems for evaluate risks prior to each procedure must be considered. Improving personal competency care in post anesthesia care unit (PACU) may help reduce the reintubation events by increasing personal and revised protocol used in PACU. The standard practice guidelines, improve supervision, additional training and also frequently organize the quality assurance activity can minimized the adverse events and help improve quality and patient safety undergoing anesthesia in obese patient.
Download or read book Multicenter Audit of Perioperative and Anesthetic Adverse Events in Thailand PAAd Thai Mortality and Critical Incidents written by Somrat Charuluxananan and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study: The Royal College of Anesthesiologists of Thailand initiated a registry study of anesthesia and adverse outcomes in Thailand since 2005. In 2015, the Perianesthetic Anesthetic Adverse Events Study in Thailand (PAAd Thai) was conducted to investigate patients, surgical, anesthetic profiles and to determine suggested strategies for prevention of adverse events.Materials and Methods: A prospective descriptive study was conducted in 22 hospitals acrossThailand. Each hospital was invited to report, on an anonymous and voluntary basis, any perianesthetic adverse incident and monthly statistics of main anesthetics performed betweent January 1, and December 31, 2015. A standardized incident report form was required to be completed. Reports were analyzed by 3 senior anesthesiologists. Descriptive statistics was used. Results and Discussion: Among 333,219 cases, 2,206 incident reports with 3,028 critical incidents were reported. The incidents commonly occurred in male (52.0%), age under 10 y (13.0%), age more than 70 y (18.2%). The incidence of common adverse events were cardiac arrest within 24 h (15.5:10000), death (13.0:10000), oxygen desaturation (13.9:10000), reintubation (11.1:10000), early and late esophageal intubation (8.5:10000), difficult intubation (8.0:10000), severe cardiac arrhythmia (14.0:10000), drug error (3.2:10000), etc. Surgical specialties that posed high risk of incident were general, cardiothoracic, neurological and otorhinolaryngological surgery. Common locations that incidents occurred were operating room, recovery room.Conclusion(s): Cardiac arrest within 24 h decreased by half within a decade. Common factors related to incidents were inexperience, emergency, inadequate preanesthetic evaluation, inappropriate decision, lack of vigilance and experienced assistant. Suggested corrective strategies were guidelines, quality assurance activity, additional training, improvement of supervision and communication.
Download or read book Anesthetic Management of the Obese Surgical Patient written by Jay B. Brodsky and published by Cambridge University Press. This book was released on 2011-12-08 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Download or read book Anesthesia and Perioperative Care of the High Risk Patient written by Ian McConachie and published by Cambridge University Press. This book was released on 2014-09-04 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise summary of perioperative management of high-risk surgical patients, bridging the gap between the operating theatre and ICU.
Download or read book Anesthesia for Otolaryngologic Surgery written by Basem Abdelmalak and published by Cambridge University Press. This book was released on 2012-10-18 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.
Download or read book 1 000 Practice MTF MCQs for the Primary and Final FRCA written by Hozefa Ebrahim and published by Cambridge University Press. This book was released on 2019-01-10 with total page 579 pages. Available in PDF, EPUB and Kindle. Book excerpt: A single, comprehensive text covering all the MCQs required to prepare for both the Primary and Final FRCA exams.
Download or read book Obstetric Anesthesia written by Craig M. Palmer and published by OUP USA. This book was released on 2011-04-13 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, over half of pregnant women receive some form of anesthesia for their deliveries; this translates into well over 2 million anesthetics per year. With this new handbook, anesthesiologists have easy access to step-by-step, to-the-point information on how to manage patients in specific situations. Every aspect of obstetric anesthesia practice is covered, including patient evaluation, anesthesia for labor and delivery, anesthesia for cesarean delivery, management of patients with concurrent medical problems, management of obstetric emergencies, fetal assessment, and neonatal resuscitation. Distilled, synthesized text is complemented by a generous number of tables, charts, figures and flow diagrams, all presented in accessible handbook format. Obstetric Anesthesia is an ideal introduction to the specialty as well as an essential daily guide for obstetric patient care and management.
Download or read book An Introduction to Clinical Emergency Medicine written by S. V. Mahadevan and published by Cambridge University Press. This book was released on 2012-04-10 with total page 911 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.
Download or read book Anesthesia for Maternal Fetal Surgery written by Olutoyin A. Olutoye and published by Cambridge University Press. This book was released on 2021-11-11 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical book on the unique fetal conditions amenable to surgical corrections and the anesthetic considerations for mother and child.
Download or read book Maternal Critical Care written by Marc van de Velde and published by Cambridge University Press. This book was released on 2013-07-04 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.
Download or read book Disease Control Priorities Third Edition Volume 1 written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Download or read book Anesthesiology written by Linda S. Aglio and published by Springer. This book was released on 2017-07-25 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Divided into twelve sections that cover the entirety of anesthetic practice, this is a case-based, comprehensive review of anesthesiology that covers the basics of anesthetic management and reflects all new guidelines and recently developed standards of care. Each chapter of Anesthesiology: Clinical Case Reviews begins with a specific clinical problem or a clinical case scenario, followed by concise discussions of preoperative assessment, intraoperative management, and postoperative pain management. In addition to residents and fellows, this book is written for practicing anesthesiologists, student nurse anesthetists, and certified registered nurse anesthetists (CRNAs).
Download or read book The Plague Year written by Lawrence Wright and published by Vintage. This book was released on 2021-06-08 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Pulitzer Prize–winning author of The Looming Tower, and the pandemic novel The End of October: an unprecedented, momentous account of Covid-19—its origins, its wide-ranging repercussions, and the ongoing global fight to contain it "A book of panoramic breadth ... managing to surprise us about even those episodes we … thought we knew well … [With] lively exchanges about spike proteins and nonpharmaceutical interventions and disease waves, Wright’s storytelling dexterity makes all this come alive.” —The New York Times Book Review From the fateful first moments of the outbreak in China to the storming of the U.S. Capitol to the extraordinary vaccine rollout, Lawrence Wright’s The Plague Year tells the story of Covid-19 in authoritative, galvanizing detail and with the full drama of events on both a global and intimate scale, illuminating the medical, economic, political, and social ramifications of the pandemic. Wright takes us inside the CDC, where a first round of faulty test kits lost America precious time . . . inside the halls of the White House, where Deputy National Security Adviser Matthew Pottinger’s early alarm about the virus was met with confounding and drastically costly skepticism . . . into a Covid ward in a Charlottesville hospital, with an idealistic young woman doctor from the town of Little Africa, South Carolina . . . into the precincts of prediction specialists at Goldman Sachs . . . into Broadway’s darkened theaters and Austin’s struggling music venues . . . inside the human body, diving deep into the science of how the virus and vaccines function—with an eye-opening detour into the history of vaccination and of the modern anti-vaccination movement. And in this full accounting, Wright makes clear that the medical professionals around the country who’ve risked their lives to fight the virus reveal and embody an America in all its vulnerability, courage, and potential. In turns steely-eyed, sympathetic, infuriated, unexpectedly comical, and always precise, Lawrence Wright is a formidable guide, slicing through the dense fog of misinformation to give us a 360-degree portrait of the catastrophe we thought we knew.
Download or read book The Diabetic Foot written by Robert Hinchliffe and published by JP Medical Ltd. This book was released on 2014-09-08 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of diabetes is increasing both in the western world and in developing countries; type 2 diabetes increase is partly the result of greater obesity. Diabetes can cause two major problems to the foot – diabetic neuropathy resulting in nerve damage and peripheral vascular disease reducing the flow of blood. These can result in ulceration of the foot which needs careful management to avoid the possibility of amputation. This management is best undertaken by multidisciplinary teams using the latest evidence to support their practice. This book presents a comprehensive and authoritative coverage of the latest evidence-based investigations, techniques and management of the diabetic foot. Evidenced-based management of the diabetic foot International, multidisciplinary team of editors and contributors Comprehensive reference for all health professionals involved in the care of diabetic foot problems
Download or read book Preoperative Cardiac Assessment written by Dennis T. Mangano and published by Lippincott Williams & Wilkins. This book was released on 1990 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
